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Impaired Balance in Patients with Fibromyalgia Syndrome: Predictors of the Impact of This Disorder and Balance Confidence

Patients with fibromyalgia syndrome (FMS) have a nonspecific postural balance disorder and a greater prevalence of falls. to clarify which aspects of maintaining balance are associated with the impact of the disorder and with balance confidence. A total of 182 persons with FMS agreed to participate...

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Bibliographic Details
Published in:International journal of environmental research and public health 2020-05, Vol.17 (9), p.3160
Main Authors: Peinado-Rubia, Ana, Osuna-Pérez, María C, Rodríguez-Almagro, Daniel, Zagalaz-Anula, Noelia, López-Ruiz, María C, Lomas-Vega, Rafael
Format: Article
Language:English
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Summary:Patients with fibromyalgia syndrome (FMS) have a nonspecific postural balance disorder and a greater prevalence of falls. to clarify which aspects of maintaining balance are associated with the impact of the disorder and with balance confidence. A total of 182 persons with FMS agreed to participate in this study. After re-evaluation, 57 fully met inclusion criteria: age 40-70 years and moderate-severe impact of the illness according to the Fibromyalgia Impact Questionnaire (FIQ). All participants underwent a posture control analysis with a stabilometric platform, an evaluation of the perception of verticality and an exploration of the vestibular system via functional tests. Additionally, they self-completed questionnaires about balance confidence, central sensitization, pain catastrophizing, kinesiophobia, dizziness and days with episodes of instability. The FIQ was associated with central sensitization and dizziness, which explained 56% of its variance (AdjR2 = 0.566), while days with instability, kinesiophobia and dizziness also explained more than half of the variance of the balance confidence scale (AdjR2 = 0.527). A high percentage of positive responses was found for functional tests (>50%) and a high dispersion in the stabilometric parameters. the detection of factors susceptible to intervention, such as disability due to dizziness, takes on special relevance in patients with FMS.
ISSN:1660-4601
1661-7827
1660-4601
DOI:10.3390/ijerph17093160